Facets with pre-Auth

As an Facets with pre-Auth you will be a part of an Agile team to build healthcare applications and implement new features while adhering to the best coding development standards. Responsibilities: - A Facets UM Consultant is responsible for providing customers with application domain expertise related to Utilization Management rules and processes within the Facets platform. The consultant will analyze and review the existing Pre-Auth/UM rules configuration (both core and custom defined) and

Position: FACETS Consultant (with Pre-Auth/UM configuration) Location: Remote Employment: Contract Job Description: We are looking for a FACETS UM Consultant with strong experience in Utilization Management (UM) and Pre-Authorization (Prior Authorization) configuration within the FACETS platform. Key Responsibilities: Analyze and review existing FACETS Pre-Auth/UM rules (core & custom) Evaluate rule logic for authorization routing, benefit limits, and medical necessity Identify ga

Facets Configuration Analyst Remote Responsibility Configures and maintains Facets platform rules, benefits, and parameters to support claims adjudication and operational requirements. Role Requirements 1)Minimum 5 years Facets Experience 2) Minimum 3 years working experience with CMS work products - MA or Medicaid 3)Excellent communicatiopn skills 4) Proficency in a minimum of 3 Facets modules with 1 being Facets Medical Plan 5)Must have experience in Facets version 25.1 or greater

Facets Solution Architect Lead Remote Responsibility Configures healthcare systems to support CMS program rules, benefit structures, and operational workflows in alignment with federal requirements. Job Requirement 1)Minimum 10 years Facets Experience 2) Minimum 3 years working experience with CMS work products - MA or Medicaid 3)Excellent communicatiopn skills 4) Proficency in a minimum of 6 Facets modules with 1 being Facets Medical Plan, 1 Being Member ands 1 being Practitioner 5)Must h